Author Question: Which findings would indicate to the nurse executive that a dissonant culture exists in the ... (Read 62 times)

rl · **on:** Jul 8, 2018

Which findings would indicate to the nurse executive that a dissonant culture exists in the healthcare agency? Select all that apply.

1. Nurses frequently voice complaints to the administration about healthcare deficiencies when they emerge.
2. The facility has a high turnover rate among its registered nursing staff.
3. The organization focuses more on patient issues than on financial viability.
4. There is a means for providing care for those patients who lack health insurance coverage.
5. The education budget for the division of nursing has been cut by half.

Question 2

A new nursing leader assesses that there is a low level of trust in the organization. Which staff report would indicate that this is beginning to be corrected?

1. Staff members feel safe to approach the leader and be heard.
2. Systems are in place for staff to have input in decisions.
3. They are expected to communicate clearly with each other.
4. They can expect to receive written notices of praise for work well done.

kingdude89 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2, 5
Explanation: 1. Having nurses who appropriately voice concerns indicates a working level of trust in administration.
2. A high nurse turnover rate is likely to indicate a dissonant organizational culture.
3. Agencies that focus more on finances than on patient issues often have nursing staff that are dissatisfied and alienated, which results in a dissonant culture.
4. Agencies that lack means for indigent care often have nursing staff that are dissatisfied and alienated, which results in a dissonant culture.
5. Limited educational/training programs for employees often results in a dissonant culture.

Answer to Question 2

1
Explanation: 1. Trust, a foundational element in a healthy organization, is interpersonal in nature, not built upon documents, systems, job expectations, or mechanical methods of feedback. Assurance that one is being heard by one's leader is essential to trust.
2. This is important, but not the best answer.
3. This is important, but not the best answer.
4. Written notices of praise are nice, but do not suggest that trust is building.